Is this thick white substance Fibrin, slough, and or a sign of healing? (Photos)

Thank you for the question and photos. It is difficult to answer your question without examining you however from reviewing your photos. This is normal once the scab falls off. It is best to continue to follow your board certified plastic surgeon’s advice. Good luck.

Dear cliche29,this type of wound is not uncommon after breast lift. It is usually caused by poor blood flow. I would suggest you to consult your plastic surgeon, follow your surgeon's instructions and keep your wound clean and covered. It can take few weeks or months for wound to fully heal. Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. You're doing the exact right thing by following your surgeon's instructions closely. It's difficult to say without seeing you in person, but based on your photos it appears that the white is some of the deeper layers of skin. The deepest layer of skin is called dermis and it can still be left if you form a thin scab and it falls off. With time this layer will become red as healthy tissue forms. This red tissue is called granulation tissue and its fragile, so don't be surprised if it bleeds a little when you wash it. Once a healthy vascularized layer of granulation tissue forms the surrounding skin will cover over the area and you will be healed. Usually this process takes about two weeks. If you have questions or concerns make sure to reach out to your surgeon directly. Congratulations on your surgery.